OKLAHOMA (OK) HOME HEALTH ADMINISTRATORS PRACTICE TEST EXAM QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A |LATEST EXAM UPDATE 2026/2027.
Core Domains
Statutory Authority & Regulatory Compliance (Oklahoma Home Care Act, Title 63, OAC 310:662 & 310:664)
Certification, Licensure, and Renewal Requirements for Administrators
Governing Body Authority and Administrative Responsibilities
Patient Care Management and the Plan of Care
Ethics, Patient Rights, and Mandatory Abuse Reporting
Human Resources, Personnel Management, and Staff Supervision
Quality Assessment and Performance Improvement (QAPI) and Risk Management
Fiscal Management, Reimbursement, and Billing Compliance
Infection Control, Safety, and Emergency Preparedness
Information Management, HIPAA, and Patient Privacy
Introduction
This comprehensive practice examination is designed to assess the knowledge and competency of prospective and
current Home Health Administrators in Oklahoma. The exam evaluates a candidate's understanding of the
Oklahoma Home Care Act, the Oklahoma Administrative Code (OAC) provisions for Home Care Agencies
(310:662) and Home Care Administrator Certification (310:664), and federal Medicare Conditions of Participation.
The questions are structured to test foundational theory, applied professional knowledge, regulatory and legal
compliance, ethics, and critical decision-making skills in real-world scenarios. This assessment serves as a crucial
,tool for exam preparation and for ensuring that administrators are well-equipped to manage a home health
agency effectively and in full compliance with all applicable standards. The following 100 multiple-choice
questions are designed to mirror the difficulty, scope, and format of the official OHCAPA examination.
SECTION ONE: QUESTIONS 1–100
1. The primary goal of home health care is to:
A. Provide long-term custodial care
B. Promote patient independence and recovery in a home setting
C. Replace hospital services permanently
D. Focus solely on palliative treatment
🟢 B. Promote patient independence and recovery in a home setting
🔴 RATIONALE: The core philosophy of home health care is to help patients regain their independence and
return to their highest level of functioning within the comfort and safety of their own homes. It is not intended
to replace hospital care permanently but to offer skilled, intermittent care aimed at rehabilitation and recovery .
2. Which agency is legally responsible for certifying home care administrators in Oklahoma?
A. Department of Labor
B. Centers for Medicare & Medicaid Services (CMS)
C. Oklahoma State Department of Health (OSDH)
D. Oklahoma Board of Nursing
,🟢 C. Oklahoma State Department of Health (OSDH)
🔴 RATIONALE: Under Title 63 O.S. § 1-1962a(B), the Oklahoma State Department of Health (OSDH) is the
designated state authority responsible for developing and applying techniques, including examinations, for
determining whether an individual meets certification standards and for issuing certificates .
3. The governing body of a home health agency must:
A. Only approve budgets annually
B. Ensure compliance with state and federal regulations
C. Serve only in an advisory capacity
D. Delegate oversight entirely to the administrator
🟢 B. Ensure compliance with state and federal regulations
🔴 RATIONALE: The governing body holds the ultimate legal responsibility for the conduct of the agency and
must ensure that it is in full compliance with all applicable state and federal regulations. This includes adopting
written standards of practice and ensuring adherence to them .
4. A patient’s plan of care must be reviewed by the physician:
A. Every 90 days
B. Every 120 days
C. At least every 60 days
D. Once per year
🟢 C. At least every 60 days
, 🔴 RATIONALE: Federal Medicare Conditions of Participation (CoPs) mandate that a patient's plan of care must
be reviewed and updated by the physician at least every 60 days to ensure it remains appropriate for the
patient's changing needs .
5. The administrator’s primary responsibility is to:
A. Handle all patient care directly
B. Direct the day-to-day operations and ensure policy compliance
C. Approve all nursing care plans personally
D. Perform patient assessments
🟢 B. Direct the day-to-day operations and ensure policy compliance
🔴 RATIONALE: The administrator is tasked with the management and oversight of the agency's daily functions.
This includes organizing and directing the agency's operations, employing qualified personnel, and ensuring
that all services comply with policies and regulations .
6. Home health aides must be supervised by a:
A. Physician
B. Licensed Practical Nurse
C. Registered Nurse (RN)
D. Case Manager
🟢 C. Registered Nurse (RN)
🔴 RATIONALE: Registered Nurses (RNs) are responsible for supervising home health aides to ensure they are
providing care as outlined in the patient's plan of care and that quality and compliance standards are met .
ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A |LATEST EXAM UPDATE 2026/2027.
Core Domains
Statutory Authority & Regulatory Compliance (Oklahoma Home Care Act, Title 63, OAC 310:662 & 310:664)
Certification, Licensure, and Renewal Requirements for Administrators
Governing Body Authority and Administrative Responsibilities
Patient Care Management and the Plan of Care
Ethics, Patient Rights, and Mandatory Abuse Reporting
Human Resources, Personnel Management, and Staff Supervision
Quality Assessment and Performance Improvement (QAPI) and Risk Management
Fiscal Management, Reimbursement, and Billing Compliance
Infection Control, Safety, and Emergency Preparedness
Information Management, HIPAA, and Patient Privacy
Introduction
This comprehensive practice examination is designed to assess the knowledge and competency of prospective and
current Home Health Administrators in Oklahoma. The exam evaluates a candidate's understanding of the
Oklahoma Home Care Act, the Oklahoma Administrative Code (OAC) provisions for Home Care Agencies
(310:662) and Home Care Administrator Certification (310:664), and federal Medicare Conditions of Participation.
The questions are structured to test foundational theory, applied professional knowledge, regulatory and legal
compliance, ethics, and critical decision-making skills in real-world scenarios. This assessment serves as a crucial
,tool for exam preparation and for ensuring that administrators are well-equipped to manage a home health
agency effectively and in full compliance with all applicable standards. The following 100 multiple-choice
questions are designed to mirror the difficulty, scope, and format of the official OHCAPA examination.
SECTION ONE: QUESTIONS 1–100
1. The primary goal of home health care is to:
A. Provide long-term custodial care
B. Promote patient independence and recovery in a home setting
C. Replace hospital services permanently
D. Focus solely on palliative treatment
🟢 B. Promote patient independence and recovery in a home setting
🔴 RATIONALE: The core philosophy of home health care is to help patients regain their independence and
return to their highest level of functioning within the comfort and safety of their own homes. It is not intended
to replace hospital care permanently but to offer skilled, intermittent care aimed at rehabilitation and recovery .
2. Which agency is legally responsible for certifying home care administrators in Oklahoma?
A. Department of Labor
B. Centers for Medicare & Medicaid Services (CMS)
C. Oklahoma State Department of Health (OSDH)
D. Oklahoma Board of Nursing
,🟢 C. Oklahoma State Department of Health (OSDH)
🔴 RATIONALE: Under Title 63 O.S. § 1-1962a(B), the Oklahoma State Department of Health (OSDH) is the
designated state authority responsible for developing and applying techniques, including examinations, for
determining whether an individual meets certification standards and for issuing certificates .
3. The governing body of a home health agency must:
A. Only approve budgets annually
B. Ensure compliance with state and federal regulations
C. Serve only in an advisory capacity
D. Delegate oversight entirely to the administrator
🟢 B. Ensure compliance with state and federal regulations
🔴 RATIONALE: The governing body holds the ultimate legal responsibility for the conduct of the agency and
must ensure that it is in full compliance with all applicable state and federal regulations. This includes adopting
written standards of practice and ensuring adherence to them .
4. A patient’s plan of care must be reviewed by the physician:
A. Every 90 days
B. Every 120 days
C. At least every 60 days
D. Once per year
🟢 C. At least every 60 days
, 🔴 RATIONALE: Federal Medicare Conditions of Participation (CoPs) mandate that a patient's plan of care must
be reviewed and updated by the physician at least every 60 days to ensure it remains appropriate for the
patient's changing needs .
5. The administrator’s primary responsibility is to:
A. Handle all patient care directly
B. Direct the day-to-day operations and ensure policy compliance
C. Approve all nursing care plans personally
D. Perform patient assessments
🟢 B. Direct the day-to-day operations and ensure policy compliance
🔴 RATIONALE: The administrator is tasked with the management and oversight of the agency's daily functions.
This includes organizing and directing the agency's operations, employing qualified personnel, and ensuring
that all services comply with policies and regulations .
6. Home health aides must be supervised by a:
A. Physician
B. Licensed Practical Nurse
C. Registered Nurse (RN)
D. Case Manager
🟢 C. Registered Nurse (RN)
🔴 RATIONALE: Registered Nurses (RNs) are responsible for supervising home health aides to ensure they are
providing care as outlined in the patient's plan of care and that quality and compliance standards are met .
